Please answer the following questions.

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* 1. Please provide the following information.

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* 2. Industry: What industry is the organization in?

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* 3. Market: Who does the organization serve? (Customers and stakeholders)

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* 4. Progress: Where is the organization in its board search process?

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* 5. Timing: When does the organization hope to complete the board search process?

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* 6. Strategy: What other strategies or resources are you using to find new board members? Please specify.

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* 7. Contacts: Please provide the following contact information about yourself.

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* 8. Referral Source: How did you hear about the Modern Board Accelerator program?

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* 9. Do you have any requirements or preferences? Please select all that apply.

We’ll contact you within three business days to set up a call or virtual meeting where we can learn more about your board needs and priorities, and specific search criteria.

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